Individual
ANTHONY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 993-4734
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 993-4734
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12698
MN
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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